Provider Demographics
NPI:1487875316
Name:DELLONE LARKIN, CECELIA ANN (MD)
Entity type:Individual
Prefix:DR
First Name:CECELIA
Middle Name:ANN
Last Name:DELLONE LARKIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:CCECELIA
Other - Middle Name:ANN
Other - Last Name:DELLONE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:6 WHITE FAWN LN
Mailing Address - Street 2:SUITE 203
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15238-2120
Mailing Address - Country:US
Mailing Address - Phone:412-913-6898
Mailing Address - Fax:412-586-7958
Practice Address - Street 1:401 AMBERSON AVE
Practice Address - Street 2:SUITE 203
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15232-1454
Practice Address - Country:US
Practice Address - Phone:412-586-7942
Practice Address - Fax:412-586-7958
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-01
Last Update Date:2016-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PABD87255092084D0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084D0003XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyDiagnostic Neuroimaging